C-Peptide (CPEP)

Message

Fasting 12 hours prior to collection is preferred.

Test Code

LAB521

Quest Code

372

Alias/See Also

CPEP

CPT Codes
84681

Preferred Specimen

1 ml serum in gold top or plain red top

Patient Preparation
Patient should fast 12 hours prior to collection

Minimum Volume

0.5 mL

Transport Container

Transport tube

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 4 days
Refrigerated: 7 days
Frozen: 7 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Gross hemolysis • Plasma

Methodology
Immunoassay (IA)

Setup Schedule

Day shift Mon-fri

Report Available

4 days

Reference Range

0.80-3.85 ng/mL

Clinical Significance

C-Peptide is useful in the evaluation of pancreatic beta cell function (e.g., helping distinguish type 1 from type 2 diabetes mellitus, or monitoring patients who have received islet cell or pancreatic transplants) and for determining the source of insulin in patients with hyperinsulinemic hypoglycemia (e.g., distinguishing insulin-secreting tumors from exogenous insulin administration). It is also sometimes measured as an additional means (more resistant to hemolysis than is insulin itself) for evaluating glucose tolerance tests.

Performing Laboratory

Quest Diagnostics - South Region

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.